Mccoy Dean Haddock in Bakersfield - Clinical
Mccoy Dean Haddock - NPI 1649495920
Mccoy Dean Haddock is a Clinical in Bakersfield, California. Mccoy Dean Haddock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mccoy Dean Haddock is 1649495920. The last update date is 2014-07-24.
Mccoy Dean Haddock's current location address is Po Box 82096, Bakersfield, California. You can contact this provider via phone number 6613268167 and fax number 6613268221. The mailing address for Mccoy Dean Haddock is Po Box 82096, Bakersfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mccoy Dean Haddock |
|---|---|
| Address | Po Box 82096, Bakersfield, California |
| Phone Number | 6613268167 |
| Fax Number | 6613268221 |
| Sole Proprietor | Y |
| Credentials | PSY.D |
NPI Number Detail
| NPI Number | 1649495920 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2014-07-24 |
Provider Mailing Address Detail
| Address | Po Box 82096 |
|---|---|
| City | Bakersfield |
| State | California (CA) |
| Post Code | 933802096 |
| Phone Number | 6613268167 |
| Fax Number | 6613268221 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY8536 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY8536 | CA | CALIF LIC |
Post Comment/ Review Below
What is the unique identifier code issued to Mccoy Dean Haddock by the Centers for Medicare & Medicaid Services?
The Mccoy Dean Haddock has been assigned the NPI (National Provider Identifier) 1649495920. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mccoy Dean Haddock?
The Mccoy Dean Haddock is physically situated at Po Box 82096, in the city of Bakersfield, state of CA, with the postal code 933802096.
What is the Mccoy Dean Haddock's specialty and taxonomy code?
The Mccoy Dean Haddock's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Mccoy Dean Haddock receive its 1649495920 assignment from the Centers for Medicare & Medicaid Services?
The Mccoy Dean Haddock was assigned its 1649495920 by the Centers for Medicare & Medicaid Services on 2007-04-13.
As of what date were the Mccoy Dean Haddock's details last updated?
The information pertaining to the Mccoy Dean Haddock, including its address, specialty, and other details, was most recently updated on 2014-07-24.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA